儿科远程医疗指南 (婴幼儿，儿童)

儿科远程医疗指南 — a unique, innovative, 5-等级分类, standards-based system

除了被 standards-based (Clinical Practice Guidelines We Can Trust, IOM, 2011) 独特的功能包括:

• 五级分类: 指南 敏锐度水平是从 1989 由美国急诊医师学院. 在 1995, 他们被进一步细化为5级分类. 这些准则早于以下概念描述 曼彻斯特分类集团 和紧急程度指数 (all designed for face-to-face triage). The guidelines contain nomenclature: 视力分类, definitions, time frames. 5级分类法提供了临床优先级, and a unified method for assigning triage (Standard 2, 3).
• “Round the clock”, not just Office Hours: “Round the Clock” Disposition recommendations, 不只是办公时间. 处分权覆盖 24/7/365 not just 9-5, M-F, 提供了一个“真实世界”, 实用的工具. 对于患者, 5-Level Triage提供明确的指令或处置，明确说明何时, 在哪里以及为什么应该看到它们, by stating the site, time frame and level of urgency of symptom pattern elicited by the nurse.(Standard, 2,3,4,5)
• Age-specific: Explicitly state the population to which they apply. Content is customized to three unique age groups: 婴幼儿，儿童 (Age Birth to 6 岁月), 学龄 (年龄 6-18 岁月) and Adult (年龄 18 岁月 +) (Standard 1)
• A Generic Guideline supports nurses in several ways (Standard 4,5,6):
  • as a “Fall Back” 或在应急的情况下，其中的准则现有协议可能不适用
  • as a “Go To” guideline before using a specific one
    

    Pediatric Telephone Triage Guidelines (婴幼儿，儿童)

  • as a training tool for new staff
• Patient-centered guidelines. Uniquely “Patient Centric” (Standard 1, 5, 6)
  
  • All Literacy Levels: 为了方便沟通的准确性和简洁打电话, we wrote guideline content at 5^日 至 8^日 grade literacy level for condition descriptions and home treatment instructions. 无需从medicalese打好语言翻译, or college level to grade-school level.
  • All economic levels: 建议配低价, accessible home treatments, support groups for comprehensive coverage of all populations
  • Site-based titles: Presented in lay language, the way that patients typically present symptoms

Standards-Based The features listed above meet and surpass current standards for decision support systems:

• 1. Explicit: 指引明确规定人口它们适用
  2. 可靠: Designed to lead to correct outcomes. 5-Tier Triage disposition designate where, when and why patients should be seen
  3. 可重复性: 五级分诊护士便利选择同一倾向的不同群体
  4. 用户指南: contains complete operating instructions, 包括相关假设和例外的建议
  5. 明晰: 写在明确的语言, 使用精确定义的术语, 在一个用户友好的介绍
  6. Transparent: üsers can clearly understand how they work

  Clinician-Developed Developed by expert-level practicing clinicians 为 practicing clinicians, reviewed by Expert Physician Reviewers

• 安全: Spotless safety record, no malpractice events of any kind have been linked to these guidelines since publication in 1995
• Multi-Purpose for Face-to-Face Triage Encounters in ED, Office, Clinic and School Nurse Settings
• Customizable when used with three ring binder and Tabs

用户友好, 透明和直观

• 这种独特的 design 模仿大脑的自然问题，通过合成两种算法和模式识别求解方法 (类似于默克手册中症状模式的经典描述). 该准则利用症状的识别/匹配策略，以支持安全决策. 这 “真实的世界” 的方法来决策已经由医疗决策专家Vimla帕特尔在她的电话分诊护士执业教育署设置的研究证实. 这也是急诊医学医师实践标准.
• Unlike systems with hundreds of protocol titles (which can lengthen the search process), this system is complete 和 简洁. 超过五十条准则标题 1,500 common and rare but predictable conditions. Each guideline includes screening questions, home treatment and/or first aid directives, 及补充病人的教学信息.
• 快速和用户友好 这些准则不够详细，以确保自信的决策, 还不够简练，以消除过度的和耗时的交叉引用.
• 权威性 该协议由二十专家级护士专案组进行合作开发超过两年的时间, 护士执业. 他们已经由四位医生审查过, 专门从事初级护理, 儿科和急诊医学.
• 方便您的预算 电子协议可以花费数十万美元. 甚至 “越来越多的自己” set of Adult and Pediatric paper protocols is extremely time consuming and costly as well. 这四位一本手册已经说明了一切, 并且是极具成本效益 – 黄金的投资价值它的重量!

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